MR. JOSE L VILLAGOMEZ MD
NPI 1699717462
General Practice in Los Angeles, CA
About Mr. Jose L Villagomez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOSE L VILLAGOMEZ MD (NPI 1699717462) is an individual general practice provider in Los Angeles, California, licensed in California (A61283) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, San Francisco School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jose L Villagomez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jose Villagomez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Clemente, CA 92673
- Reassigned Medicare billing, California enrollment
- 1,204 clinicians in this Medicare group
Los Angeles, CA 90066
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90066
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jose Villagomez's NPI number?
The NPI number for Jose Villagomez is 1699717462. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Jose Villagomez located?
Jose Villagomez practices at 12099 W Washington Blvd Ste 400, Los Angeles, CA 90066. The listed phone number is (310) 398-3803.
What is Jose Villagomez's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jose Villagomez enrolled in Medicare?
Yes. Jose Villagomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jose Villagomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Villagomez reassigns Medicare benefits to 2 organizations: Cep America - California (San Clemente, CA) and Sana Medical Group, Inc. (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Villagomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jose Villagomez was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Jose L Villagomez, MD · NPI 1699717462
General Practice physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1699717462 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** A61283 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12099 W WASHINGTON BLVD STE 400, Los Angeles, CA 90066-2620
- **Phone:** (310) 398-3803 · **Fax:** (310) 398-5189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1033281993, San Clemente, CA); Sana Medical Group, Inc. (NPI 1194900175, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Other 00A612830 (CA); Other 11613705; Medicaid 00A612830 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1699717462) · Data from the CMS NPPES public registry.